| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.72 | $90.76 | $115.76 |
Aetna
| Professional | $184.63 | $303.82 | $417.51 | |
BCBS
| Professional | $455.00 | $455.00 | $455.00 | |
Cigna
| Professional | $208.25 | $438.96 | $491.64 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $189.30 | $245.82 | $512.13 |